Trump reaches out to lawmakers on healthcare as another says 'no'

Standing at a press conference alongside Nevada Gov. Brian Sandoval, a fellow Republican, he said, "At the end of the day, it's about Medicaid expansion". The bill also makes major cuts and structural changes to Medicaid, a health insurance program relied upon by almost 75 million Americans - primarily low-income, disabled, and elderly.

Heller is the first Republican senator to rule out supporting the bill over its spending constraints to Medicaid. They said the measure missed delivering a GOP promise to Americans "to repeal Obamacare and lower their health care costs".

Senate Minority Leader Chuck Schumer said the bill's chances of passing are 50-50, insisting that Democrats would do "everything we can to fight this bill, because it's so devastating for the middle class".

Rand Paul, who has rejected the plan along with fellow Republican Senators Ted Cruz, Mike Lee and Ron Johnson, said fundamental problems remained that would leave taxpayers subsidizing health insurance companies.

One of the Republican senators who's opposing his party's health-care bill as written says the Senate shouldn't vote on the plan this week. Facing unanimous Democratic opposition, the bill would fail if just three of the Senate's 52 GOP senators oppose it. Johnson said, "It's freakish what we've done to our healthcare markets". He celebrated the bill's narrow passage last month in a Rose Garden event with House Republican leaders. "It's just a tax cut for high-income people", said Mark Mazur, director of the Tax Policy Center.

HSA savers:The Senate bill boosts the tax break for people in high-deductible plans in both the individual market and employer plans, by allowing them to put enough into their health savings accounts to cover much more of their out-of-pocket costs.

The lengthy proposal only came out last week, but Senate Majority Leader Mitch McConnell wants to begin voting this week. But Democrats and state lawmakers are deeply opposed to cuts in Medicaid funding among other things, arguing that those provisions will do far more harm to Americans' health than good. "Leadership said it was a draft open for discussion and improvement".

If the effort succeeds, expansion-state Republicans face the prospects of political hellfire: blame for every potential glitch in the health care system, from premium increases to canceled health plans and benefit losses.

The Senate bill would make the payments through 2019, but then cut them off.

The Senate bill is not health care reform. They also know that their bill will take away health coverage from millions. Still Medicaid is already 10 percent of state spending.

Under special rules McConnell is using that will block Democrats from using a filibuster to kill the bill, the legislation can not include provisions that make policy changes that don't primarily affect the budget.

"I don't believe that the president has specifically weighed in that it's right to cut Medicaid", Sanders said, adding that Trump will continue to negotiate with the Congress "until we get the best bill that we can".

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